In vitro effect of interleukin-12 on antigen-specific lymphocyte proliferative responses from persons infected with

P Uherova1, E Connick, S MaWhinney

  • 1Division of Infectious Diseases, University of Colorado Health Sciences Center, Denver 80262, USA.

Insights

Interleukin-12 (IL-12) boosts immune cell responses to common antigens in human immunodeficiency virus (HIV)-infected individuals with higher CD4 counts. This suggests IL-12 may help restore immune function in early-stage HIV infection.

Area of Science:

  • Immunology
  • Virology
  • Cell Biology

Background:

  • Human immunodeficiency virus (HIV) infection leads to progressive depletion of CD4+ T lymphocytes, impairing immune function.
  • Interleukin-12 (IL-12) is a cytokine crucial for cell-mediated immunity and T-cell activation.
  • Understanding factors that modulate immune responses in HIV is critical for therapeutic development.

Purpose of the Study:

  • To investigate the relationship between CD4+ lymphocyte count and the in vitro effect of IL-12 on lymphocyte proliferation.
  • To assess IL-12's impact on responses to microbial recall antigens in HIV-infected individuals.

Main Methods:

  • Peripheral blood mononuclear cells (PBMC) were isolated from 30 HIV-infected individuals and 10 seronegative controls.
  • PBMC were stimulated with Candida, tetanus toxoid, and streptokinase antigens in the presence or absence of IL-12.
  • Lymphocyte proliferative responses were measured, and limiting dilution analysis was performed.

Main Results:

  • IL-12 significantly enhanced lymphocyte proliferation to microbial recall antigens in HIV-infected individuals with >200 CD4+ cells/mm³.
  • The enhancing effect of IL-12 was most pronounced in individuals with CD4+ counts between 200-500 cells/mm³.
  • IL-12 had minimal effect on PBMC from individuals with advanced HIV disease (lower CD4+ counts).
  • Limiting dilution analysis indicated that IL-12 increased the number of antigen-responsive cells, not the proliferation extent.

Conclusions:

  • IL-12 can restore antigen-specific lymphocyte proliferation in HIV-infected individuals with preserved CD4+ T-cell counts.
  • The efficacy of IL-12 is dependent on the CD4+ lymphocyte count, suggesting a potential therapeutic window.
  • IL-12 acts by increasing the number of responding lymphocytes, highlighting its role in immune reconstitution.